19 – 20 years

Those Medicaid members nineteen (19) through twenty (20) years of age may receive vaccines through their health care provider. SHP will reimburse the cost of the vaccine and the administration fee as per the provider’s contract.

For eligible members ages nineteen (19) through twenty (20) years of age who lack evidence of immunity (e.g., lack documentation of vaccination), or require the vaccinations, the following vaccines and combination vaccines are reimbursable:

Hepatitis A Meningococcal conjugate (MCV4)
Hepatitis B Meningococcal Polysaccharide (MPSV4)
HPV Pneumococcal Polysaccharide (PPV)
Influenza Td
MMR Varicella

21 and older

SHP covers immunizations services for members who are twenty-one (21) years of age or older only when medically necessary for the member’s health (not for travel or work-related).